Search icon

Skye Consultorio Medico, LLC.

Details

Name: Skye Consultorio Medico, LLC.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 10 Jun 2024 (5 months ago) (Companies founded in June 2024)
Entity Number: 001-140-154
Register Number: 001140154
ZIP code: 36024 (Companies in Elmore, 36024)
County: Elmore
Place of Formation: Alabama
Registered Office Street Address: 55 Prairie DriveEclectic, AL 36024

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821835893 2024-07-09 2024-07-09 1107 N EASTERN BLVD, MONTGOMERY, AL, 361172290, US 3813 ROSS CLARK CIR STE 300, DOTHAN, AL, 363032881, US

Contacts

Phone +1 334-647-1444
Phone +1 334-479-0505

Authorized person

Name MR. ROBERT TATE
Role CEO
Phone 3342338283

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role
Singleton, Spence A Singleton Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State